,A 180-cm, 75-kg male had a cardiac arrest and is admitted to the ICU. The patient is
apneic is receiving 100% O2 by a bag valve mask resuscitator and has an SpO2 of 94%
which of the following are the most appropriate ventilator settings?2.SIMV-FIO2-0.40
mandatory 12 vt-750 peep-5CM
a.3
b.1
c.2
d.3 - ANSWER-c.2
While instructing a 9 year old child with pneumonia in use of a PEP therapy device, a
respiratory therapist observes that the child is consistently unable to keep a seal around
the mouthpiece. which of the following should the therapist recommend? select a mask
rather than a mouthpiece term-20 - ANSWER-c.select a mask rather than a mouthpiece
A 23 year old patient is in moderate repiratory distress while receiving oxygen
pH:7.42
PaCO2:31
PaO2:38
HCO3:20
BE: -3
SaO2: 71% - ANSWER-Chronic respiratory alkalosis with severe hypoxemia
which of the following can be used to confirm correct endotracheal tube position chest
radiograph - ANSWER-d. chest radiograph
Lung fields will appear whiter on a CXR when the imaging technique is underexpose -
ANSWER-d.underexpose
A 71 year old male who has a femur fracture had a chest CT angiogram due to
increased shortness of breath. a RT observes multiple pulmonary arterial thrombi. SpO2
is 94% while receiving O2 at 2L/min by nasal cannula. Which should the therapist
recommend? - ANSWER-Intravenous heparin
A 49-year-old female with polyneuropathy has received mechanical ventilation for 74
days. For the past week, the patient has been receiving an Fi02 of 0.28 by
tracheostoterm-78my collar for progressively longer periods of time. Data collected for a
daily 3-hour weaning trial are below:
30 min-2hrs-3hrs
HR-99-103-132
RR-22-24-36
SpO2-96-95-88 - ANSWER-2 hours
VC A/C Ventilation has been initiated on a 38-year-old ARDs patient who is 180cm( 5ft
11in) tall and weighs 85kg (187lb). The patient's cardiovascular status is stable. Vent
and ABGs after 30 minutes:
, FiO2= 0.80
Mandatory Rate= 16
Total Rate= 18
VT= 500
PEEP +5
7.36/32/57/18 -6 90%
What should the RT recommend? - ANSWER-A. Increasing to 10 cm H2O PEEP
To determine the etiology of a pleural effusion, an RT should recommend a - ANSWER-
Thoracentesis
An RT is asked to perform an apnea test on a pt for whom brain death is suspected.
Which of the following should be confirmed prior to performing this test? - ANSWER-
Body temp greater than 36 degrees C
A patient receiving a nebulizer treatment with 3% saline complains of shortness of
breath. A RT should - ANSWER-discontinue therapy
An RT arrives to perform vibratory PEP on a pt with CF. The pt confides he has begun
coughing up blood, but odes not want anyone to know. Which should the therapist do
NEXT? - ANSWER-Hold therapy and inform the physician about the hemoptysis
A CXR for a 21 y/o pt shows multilobar infiltrates in the RL. SpO2 is 85% while receiving
80% O2 by HHFNC at 50 L/min. To improve oxygenation, an RT should place the pt in
which position? - ANSWER-left lateral decubitus
A sedated 152-cm, 42-kg patient with pneumonia has been receiving VC, A/C
ventilation for 3 days and has a worsening chest radiograph. the following information is
available
FiO2:0.85 mandatory rate:24 total rate:24 vt:400 PEEP:14 PIP:45 Pplat:29
pH:7.25 PaCO2:62 PaO2:68 HCO#:27 BE:-2 SaO2:94%
A RT should change - ANSWER-Mode to PC,A/C
An RT returns to the room of a 63 y/o female pt and finds her less responsive. The pt
has a HR of 154/min, RR of 8/min and a weak pulse. She's currently receiving oxygen
at 2L/min by NC. The therapist should FIRST - ANSWER-Activate the medical
emergency team
When assessing the airway of a patient prior to intubation, a Mallampati score of 4 is
observed. Which of the following should a RT recommend to facilitate intubation -
ANSWER-Video laryngoscopy
apneic is receiving 100% O2 by a bag valve mask resuscitator and has an SpO2 of 94%
which of the following are the most appropriate ventilator settings?2.SIMV-FIO2-0.40
mandatory 12 vt-750 peep-5CM
a.3
b.1
c.2
d.3 - ANSWER-c.2
While instructing a 9 year old child with pneumonia in use of a PEP therapy device, a
respiratory therapist observes that the child is consistently unable to keep a seal around
the mouthpiece. which of the following should the therapist recommend? select a mask
rather than a mouthpiece term-20 - ANSWER-c.select a mask rather than a mouthpiece
A 23 year old patient is in moderate repiratory distress while receiving oxygen
pH:7.42
PaCO2:31
PaO2:38
HCO3:20
BE: -3
SaO2: 71% - ANSWER-Chronic respiratory alkalosis with severe hypoxemia
which of the following can be used to confirm correct endotracheal tube position chest
radiograph - ANSWER-d. chest radiograph
Lung fields will appear whiter on a CXR when the imaging technique is underexpose -
ANSWER-d.underexpose
A 71 year old male who has a femur fracture had a chest CT angiogram due to
increased shortness of breath. a RT observes multiple pulmonary arterial thrombi. SpO2
is 94% while receiving O2 at 2L/min by nasal cannula. Which should the therapist
recommend? - ANSWER-Intravenous heparin
A 49-year-old female with polyneuropathy has received mechanical ventilation for 74
days. For the past week, the patient has been receiving an Fi02 of 0.28 by
tracheostoterm-78my collar for progressively longer periods of time. Data collected for a
daily 3-hour weaning trial are below:
30 min-2hrs-3hrs
HR-99-103-132
RR-22-24-36
SpO2-96-95-88 - ANSWER-2 hours
VC A/C Ventilation has been initiated on a 38-year-old ARDs patient who is 180cm( 5ft
11in) tall and weighs 85kg (187lb). The patient's cardiovascular status is stable. Vent
and ABGs after 30 minutes:
, FiO2= 0.80
Mandatory Rate= 16
Total Rate= 18
VT= 500
PEEP +5
7.36/32/57/18 -6 90%
What should the RT recommend? - ANSWER-A. Increasing to 10 cm H2O PEEP
To determine the etiology of a pleural effusion, an RT should recommend a - ANSWER-
Thoracentesis
An RT is asked to perform an apnea test on a pt for whom brain death is suspected.
Which of the following should be confirmed prior to performing this test? - ANSWER-
Body temp greater than 36 degrees C
A patient receiving a nebulizer treatment with 3% saline complains of shortness of
breath. A RT should - ANSWER-discontinue therapy
An RT arrives to perform vibratory PEP on a pt with CF. The pt confides he has begun
coughing up blood, but odes not want anyone to know. Which should the therapist do
NEXT? - ANSWER-Hold therapy and inform the physician about the hemoptysis
A CXR for a 21 y/o pt shows multilobar infiltrates in the RL. SpO2 is 85% while receiving
80% O2 by HHFNC at 50 L/min. To improve oxygenation, an RT should place the pt in
which position? - ANSWER-left lateral decubitus
A sedated 152-cm, 42-kg patient with pneumonia has been receiving VC, A/C
ventilation for 3 days and has a worsening chest radiograph. the following information is
available
FiO2:0.85 mandatory rate:24 total rate:24 vt:400 PEEP:14 PIP:45 Pplat:29
pH:7.25 PaCO2:62 PaO2:68 HCO#:27 BE:-2 SaO2:94%
A RT should change - ANSWER-Mode to PC,A/C
An RT returns to the room of a 63 y/o female pt and finds her less responsive. The pt
has a HR of 154/min, RR of 8/min and a weak pulse. She's currently receiving oxygen
at 2L/min by NC. The therapist should FIRST - ANSWER-Activate the medical
emergency team
When assessing the airway of a patient prior to intubation, a Mallampati score of 4 is
observed. Which of the following should a RT recommend to facilitate intubation -
ANSWER-Video laryngoscopy
